Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2020

August 2020 Anthem Maine Provider News

Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2020

Electronic attachments - X12 275 5010

AdministrativeAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2020

Appropriate coding helps provide a comprehensive picture of members’ health

AdministrativeAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2020

Resources to support diverse patients and communities

AdministrativeAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2020

Medical record standards

AdministrativeAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2020

Prior Authorization/Referral Request and Inpatient Admission/Discharge Notification transactions coming soon

AdministrativeAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2020

Clinical Laboratory Improvement Amendments (CLIA) ID number required for electronic claims submissions

AdministrativeAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2020

Migrate your EDI transactions to Availity today

AdministrativeAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2020

Reminder - New ID cards for many Anthem members

AdministrativeAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2020

Coming soon - Interactive Care Reviewer Anthem’s self-service online prior authorization tool

Policy Updates

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2020

Reimbursement policy update - Claims Requiring Additional Documentation (facility)

Products & Programs

Products & ProgramsAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2020

Voluntary site of care outreach for oncology checkpoint inhibitors beginning August 1, 2020

Products & ProgramsAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2020

Expansion of AIM Musculoskeletal Program effective November 1, 2020

PharmacyAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2020

Prior authorization updates for specialty pharmacy effective November 1, 2020

PharmacyAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2020

Pharmacy information available on anthem.com

PharmacyAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2020

Clinical criteria updates for specialty pharmacy

PharmacyAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2020

Formulary lists updated for Anthem commercial health plan pharmacy benefit

State & Federal

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2020

Keep up with Medicare news

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2020

2020 Medicare risk adjustment provider trainings

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2020

AIM Musculoskeletal Program expansion

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2020

New MCG Care Guidelines 24th edition

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2020

Medical drug benefit clinical criteria updates